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Alaska rates for HCPCS J1630

Injection, haloperidol, up to 5 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.53 / $43.16 / $63.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.84 / $1.49 / $2.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $49.95 / $55.60
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $2.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $5.04 / $7.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $5.04 / $11.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $0.80 / $0.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.89 / $1.20 / $2.40